Jai Thao, is a medicare enrolled "Psychologist" provider in San Jose, California. His current practice location is
3200 Senter Rd Rm S-105, San Jose, California. You can reach out to his office (for appointments etc.) via phone at
(408) 347-4240.
Jai Thao is licensed to practice in California (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1700267721.
Healthcare Provider's Profile
Full Name | Jai Thao |
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Gender | Male |
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Speciality | Psychologist |
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Location | 3200 Senter Rd Rm S-105, San Jose, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1700267721
- Provider Enumeration Date: 06/16/2015
- Last Update Date: 04/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 5890145890
- Enrollment ID: I20240102003815
Medical Identifiers
Medical identifiers for Jai Thao such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700267721 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | PSB94024755 (California) | Secondary |
103T00000X | Psychologist | (* (Not Available)) | Secondary |
103T00000X | Psychologist | (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jai Thao is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jai Thao, 40910 Fremont Blvd, Fremont, CA 94538-4375 Ph: (510) 770-8040 | Jai Thao, 3200 Senter Rd Rm S-105, San Jose, CA 95111-1332 Ph: (408) 347-4240 |
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